Individual
TERESA ELIAS HOOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.,LTD
Contact information
Practice address
730 AVIGNON DR STE 102, RIDGELAND, MS 39157
(601) 856-0582
Mailing address
730 AVIGNON DR STE 102, RIDGELAND, MS 39157-5164
(601) 982-8531
(601) 982-1115
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
33543
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120519
—
MS
Enumeration date
08/31/2006
Last updated
07/25/2018
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